Organization
PROGRESSIVE PEDIATRIC THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN J MELNICK PT (PRESIDENT)
(574) 340-3567
Entity
Organization
Contact information
Practice address
3910 HARRISON CREEK CT, MISHAWAKA, IN 46544-9159
(574) 254-0028
(574) 254-0039
Mailing address
3910 HARRISON CREEK CT, MISHAWAKA, IN 46544-9159
(574) 254-0028
(574) 254-0039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002749A
IN
Other
Enumeration date
11/20/2006
Last updated
07/13/2007
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